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Pr/ 813-780-0020 City of Zephyrhilis Permit Al:!P-111 kxr _01 15-4 ov-vuz I <br /> Building Depa me <br /> Date Received Permitting 9S <br /> 3-2,443 Phone Contact forin <br /> Owner's Name C,.//1 4, S Owner Phone Number <br /> Owner's Address a", t Owner Phone Number J-77 �IWo- 5--9 <br /> Owner Phone Number <br /> eLo <br /> JOB ADDRESS Sct,;4i e— LOT# <br /> SUBDIVISION 4iffi XD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE FX_1 SFR 0 COMM u OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK C (� �__ fir A 2- Sg <br /> BUILDING SIZE KX 1;2 SQ FOOTAGE HEIGHT C--� <br /> ........... <br /> F7DUILDING aoo VALUATION OF TOTAL CONSTRUCTION <br /> MOLECTRICAL 1$ AMP SERVICE /04) DUKE ENERGY � W.R.E.C. <br /> -70 eX1ei4SjOq 0,,C eX'1541 ()14 I/V <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 13 <br /> [ GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 10 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LIIJN <br /> Address -e- License# <br /> ELECTRICIAN t COMPANY WN <br /> SIGNATURE /100f REGISTERED Y/ N FEE CURREN <br /> Address ilho License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED i Y/ N FEE CURREN <br /> Address 71— License#-,F <br /> MECHANICAL r. MPANY <br /> SIGNATURE 7 GISTERED Y/ N FEE CURREN L1 NJ <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN <br /> Address License J <br /> I I I 1 2 11 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> ............. <br /> Directions: <br /> - ---- --- <br /> Fill out application completely. C, 11 a 0 <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />